Individual provider Active NPI

Michael Weathers, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Logan, UT
National Provider Identifier
1972821072
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
13393756-1205 Issued in UT
Practice address
2310 N 400 E Ste a
Logan, UT 84341-1796
Phone
(435) 787-2000
Fax
(435) 787-1913
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 13393756-1205 UT Primary

Addresses

Primary practice location

2310 N 400 E Ste a
Logan, UT 84341-1796

Mailing address

280 S Main St
Bountiful, UT 84010-6236
Phone (801) 505-0821

Other practice location 1

5125 Skyline Rd S
Salem, OR 97306-9427
Phone (503) 847-3352

Other practice location 2

1030 S Medical Dr Ste A
Brigham City, UT 84302-3119
Phone (435) 723-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, UT, ID4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160923001448 OR Practitioner - Orthopedic Surgery 2860708716 Reassigns benefits to 1 organization
I20220815000186 WA Practitioner - Orthopedic Surgery 2860708716 Reassigns benefits to 1 organization
I20230623002012 UT Practitioner - Orthopedic Surgery 2860708716 Reassigns benefits to 1 organization
I20251007002543 ID Practitioner - Orthopedic Surgery 2860708716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at San Antonio, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Management and ConsultingGroup PAC ID 5496659245, 21 clinicians

Practice addresses (Care Compare)

2310 N 400
Suite a
North Logan, UT 84341-1796
Phone (435) 787-2000

Hospital & facility affiliations

  • Ascend Home Health Home health agency, Logan, UT, CCN 467228
  • Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017
  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015
  • Cache Valley Hospital Hospital, North Logan, UT, CCN 460054
  • Nell J Redfield Memorial Hospital Hospital, Malad City, ID, CCN 131303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Caribou Medical Center, Inc CurrentSince Sep 9, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Aug 29, 2016 Accepting new patients
Caribou Medical Center, Inc CurrentSince Sep 9, 2025 Accepting new patients
Alpine Management and Consulting Sports Medicine CurrentSince Jun 7, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Aug 29, 2016 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Mar 31, 2022 Accepting new patients

Locations

300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

5125 Skyline Rd S
Ofc
Salem, OR 97306
Phone (503) 361-5400

5125 Skyline Rd S
Salem, OR 97306
Phone (503) 361-5400

1030 S Medical Dr
Ste A
Brigham City, UT 84302
Phone (435) 723-4500

55 E Golf Course Rd
Logan, UT 84321
Phone (435) 760-3734

2310 N 400 E
Ste A
North Logan, UT 84341
Phone (435) 774-8547

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Interoperability endpoints

  • Direct secure messaging: mweathers@alpineortho.emadirect.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1972821072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106236",
            "telephone_number": "801-505-0821",
            "fax_number": "801-505-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N 400 E STE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411796",
            "telephone_number": "435-787-2000",
            "fax_number": "435-787-1913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5125 Skyline Rd S",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973069427",
            "country_code": "US",
            "telephone_number": "503-847-3352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 S Medical Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843023119",
            "country_code": "US",
            "telephone_number": "435-723-9700",
            "fax_number": "435-723-9710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "UT",
            "license": "13393756-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.